Video & Transcript Research : 'Developmental Disabilities Division'

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CA

California 2025-2026 Regular Session

Assembly Floor Session Jun 2nd, 2025

California House Floor Meeting

Transcript Highlights:
  • Assembly Bill 649 by Assemblymember Lowenthal and others, an act relating to disability access.
  • Madam Speaker Members, AB 694 addresses the critical staffing shortage at the Division of Occupational
  • AB 960 will allow the caregivers of people living with a physical, intellectual, or developmental disability
  • Assembly Bill 1208 by Assembly Member Addis, an act relating to developmental services.
  • To include those that may be physically disabled in our state parks, nothing could be finer.
Keywords: 988, house, all
MN

Minnesota 2025 1st Special Session

Committee on Human Services - 03/17/25

Human Services

Transcript Highlights:
  • disabilities combined with type 1 diabetes.
  • is completely missing the combination of type 1 diabetes and being developmentally disabled.
  • My daughter Lexi is a 15-year-old spunky teen with intellectual disabilities, physical disabilities,
  • Lexi is developmentally about the age of 10.
  • Chair, I'd like to offer the A1 amendment. with disabilities and so uh there were u with disabilities
Keywords: 1187, senate, all
AL

Alabama 2026 1st Special Session

Alabama Senate State Governmental Affairs Committee Jan 21st, 2026

State Governmental Affairs

Transcript Highlights:
  • to be bringing this session for some type of special designation for people who have invisible disabilities
  • this bill and am very excited about the opportunity for those folks that have these invisible disabilities
  • to be bringing this session for some type of special designation for people who have invisible disabilities
  • this bill and am very excited about the opportunity for those folks that have these invisible disabilities
  • <00:39:31.839> to these in um invisible disabilities to these in um invisible disabilities
TX

Texas 89th Regular

Health and Human Services (Part II) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • in Harris County alone, close over a hundred illegal boarding homes, and we've rehoused over 300 disabled
Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.
TX

Texas 89th Regular

Health and Human Services (Part I) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • little boy was on top of the chair, table, around it, diagnosed in first grade with ADHD and learning disabled
  • This includes Social Security income, retirement, survivors, and disability insurance.
  • everybody else that, and I know 23 states have made some move, that we do use what the Social Security disability
  • Some foster youth qualify for federal benefits available to individuals with disabilities, veterans'
  • question is whether it is the intended use of these benefits, especially for children who have disabilities
Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.
TX

Texas 89th Regular

Public Education May 6th, 2025

Public Education

Transcript Highlights:
  • Steven Alleman on behalf of Disability Rights Texas testifying for the bill. Is that correct?
  • I'm Stephen Aleman with Disability Rights, here in favor of the legislation.
  • In special education settings, where students may be nonverbal, disabled, or unable to self-advocate,
  • No two students with disabilities are the same, and their safety plans should reflect that.
  • We have Maya Volk on behalf of Disability Rights Texas registered on the bill but not testifying.
CA
Transcript Highlights:
  • required insurance coverage for behavioral health treatment for individuals with autism and pervasive developmental
  • who work in our public schools here in Assembly District 6 and provide services to children with disabilities
  • She was diagnosed as severely developmentally delayed, nonverbal, and on the autism spectrum.
Summary: The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health. The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection. Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations. The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.
KY
Transcript Highlights:
  • Let me give you a small snapshot of how the Division of Abandoned Mine Lands works.
  • <00:32:22.640> of snapshot of how the division of snapshot of how the division of abandoned
  • Purchasing Branch Manager, Division of Purchases, KYTC, Allan Cold Iron. >> All right.
  • I'm with the Division of Budgets and Financial Management at KDE. Meredith Brewer.
  • Health, Developmental and Intellectual Disabilities. >> All right.
Keywords: 958, all
Summary: The committee first approved the October 13 minutes and then moved through a large agenda of contracts and agreements, including a deferred list from the September 2025 agenda. Members questioned several agencies about the purpose, cost, and duration of the items before them, with repeated motions to consider the contracts reviewed without objection passing by roll call. The Office of Energy Policy and Energy and Environment Cabinet presented a solar-and-battery program. Members asked about panel and battery lifespan, warranty coverage, who would pay for replacement or disposal, and whether the program made sense in Kentucky. The agency said panels and batteries generally last 25 to 30 years, warranties would cover replacement during the warranty period, EPA guidance would govern disposal, and federal funds would cover program expenses. Officials estimated the program could reduce participating homeowners’ utility bills by about 70%, with a minimum required savings of 20%. The Department for Community Based Services explained a new vendor contract for SSI initial and redetermination work for children in out-of-home care, saying the work is federally required, the department lacks in-house capacity, and the contract replaced a prior vendor after an RFP protest and rebid. The Department of Highways described umbrella traffic engineering contracts for smaller highway safety projects, noting they are used for spot improvements and are nearing full utilization. The Kentucky Historical Society said its contract funded a temporary exhibit tied to 250th anniversary programming, and the Board of Medical Licensure discussed an amended audit contract, explaining that annual audits were adopted after an auditor’s recommendation and that the board is funded by state allocation plus fees and fines. The Department for Natural Resources/Abandoned Mine Lands gave the most extensive presentation, describing a $5 million engineering services contract as part of a much larger workload increase driven by Bipartisan Infrastructure Law funding, with projects prioritized by citizen complaints and safety impacts; the agency said the contract supports design and oversight for community-scale mine reclamation projects that exceed in-house capacity.
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Jun 16th, 2026

Public Safety

Transcript Highlights:
  • It was before my time, but there are developmental reasons for the length of time.
  • today in support: our representative from Jewish California and the Anti-Defamation League Western Division
  • I am the vice president of the Anti-Defamation League for the Western Division.
  • I'm Trammell Watson with Disability Rights California. We stand in support of AB 2122. Thank you.
Keywords: 987, senate, all
Summary: The committee met on June 16, 2026, with a quorum present and first approved a consent calendar containing several bills, while a number of other measures were pulled and set for later hearings. The committee then heard AB 1662, which would require notice to the DMV when a defendant receives diversion in certain driving-related cases so DMV points can still be assessed. The author and supporters, including police chiefs, road safety advocates, district attorneys, cities, and AAA, said the bill closes a loophole identified in reporting on dangerous drivers; one opposition witness from the Western Center on Law and Poverty objected. The bill was moved on a due pass recommendation to Transportation and kept on call. The committee next heard AB 1741, which would allow sexual battery committed during an unlawful residential intrusion to be charged as a wobbler. The author and supporters, including district attorneys, sheriffs, and victim advocates, argued current law leaves a gap when an intruder sexually touches a victim in a home without meeting other felony elements. Public defenders opposed, saying existing burglary, attempted rape, and other statutes already cover the conduct and warning the bill was overbroad. The bill passed on a due pass as amended recommendation to Appropriations. AB 2760 followed, allowing counties with an Office of Inspector General to expand oversight to probation and animal control. The author and a San Diego supervisor’s letter framed it as optional local oversight to address capacity limits, while probation chiefs and Fresno County opposed, citing existing oversight and concerns about duplication and confidentiality. The bill passed to Local Government, with some members voting no. The committee then heard AB 1753, the Survivor Pathways to Safety Act, which would strengthen firearm relinquishment and protection-order enforcement, expand remote hearing access, and add certain offenses to firearm prohibitions. Supporters, including Giffords, prosecutors, police chiefs, emergency physicians, and victim advocates, said it would make restraining orders more effective and close enforcement gaps; gun rights groups opposed on due process and Second Amendment grounds. The bill passed to Judiciary. AB 1743, by Assembly Member Wicks, would allow local governments and certain universities to request firearm trace data from DOJ for research and policy analysis. Supporters said the data would help identify trafficking patterns and improve evidence-based policy, while NRA and gun rights groups warned about privacy, misuse, and stigmatizing lawful dealers. The bill passed to Appropriations. Later, the committee heard AB 2164, the Care Without Fear Act, which would strengthen California’s shield-law protections for abortion providers by limiting extradition cooperation and extending reciprocal protections to providers from other shield states. Health care and reproductive rights groups supported it; the California Family Council opposed, raising concerns about abortion and gender-affirming care. The bill passed to Judiciary. AB 2664, the Safe Worship Zone Act, would create an eight-foot personal buffer within 100 feet of a place of worship’s entrances and exits to prevent harassment or intimidation. Jewish organizations and the ADL supported it as a response to harassment at synagogues and other houses of worship, while the ACLU, CAIR, and others opposed on First Amendment grounds and urged narrower alternatives. The bill passed to Appropriations. Finally, AB 2122 would prohibit bench warrants for Vehicle Code infractions and allow noncustodial warrants for other infractions; the author and supporters said it would reduce criminalization of poverty and unnecessary arrests, while the transcript cuts off during support testimony and no vote is shown in the excerpt.
MA

Massachusetts 2025-2026 Regular Session

Senate Session Jun 21st, 2026 at 11:00 am

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • the Director of Medical Services at the Wrentham Development Center, a facility for people with developmental
  • disabilities.
Keywords: 995, all
Summary: The Senate opened with the Pledge of Allegiance and a special recognition of Dr. Harold May, an original Tuskegee Airman. The Majority Leader highlighted Dr. May’s military service and his later career in medicine, including graduating from Harvard Medical School, working in Haiti, helping develop Boston’s emergency medical services, and founding a children’s support organization. A citation from the Massachusetts Senate was presented, and the chamber briefly recessed for photos and signatures. The Senate then adopted a resolution recognizing the legacy of Senator Mock and Mr. Pachico. It also suspended Joint Rule 12 to refer several House petitions to the appropriate committees. An order was adopted for the Senate to reconvene on Monday at 11:00 a.m. Before adjournment, the Senate honored former State Representative Thomas S. Cahir, with remarks noting his long service in the Massachusetts House, leadership on transportation issues, work on commuter rail and other projects, and later service with the Cape Cod Regional Transit Authority. The Senate approved adjournment in his memory, observed a moment of silence, and adjourned accordingly.
NH

New Hampshire 2025 Regular Session

House Education Funding (01/30/2025)

Transcript Highlights:
  • unanimously went on to the the division unanimously went on to the the division 2<00:12:00.440><
  • appropriate children with disabilities appropriate children with disabilities are<00:25:58.919><
  • <00:26:52.960> sometimes accommodating his disability sometimes accommodating his disability
  • and developmental disabilities. doesn't matter what the student doesn't matter what the student background
  • <02:28:47.399> developmental<02:28:48.399> disabilities We've heard a lot about the range
Keywords: 928, house, all
Summary: The hearing focused on HB 563, which would revise the education funding formula for pupils receiving special education services by replacing the current single special education amount with three differentiated categories. Representative Rick Ladd, the prime sponsor, said the bill largely tracks a House-passed version from the prior session with minor figure adjustments, and explained that the proposal uses projected FY26 amounts for three categories based on time in general education versus more intensive placements. He also noted that the bill does not address catastrophic aid directly, but that special education aid, CAT aid, and proration all remain issues for later work sessions. Ladd and supporters argued that weighted categories better reflect actual costs and are more sustainable than treating all IEPs the same. Representative Margaret Drye said the approach was one of the best ideas from the education funding subcommittee and urged the committee to support differentiated aid. Representative Ames asked how the category amounts were derived, and Ladd said Category A follows the FY26 base, Category B is a higher weight, and Category C is a still higher weight for more intensive services, though he acknowledged the exact multipliers were developed earlier and could be revisited. He also said the committee would continue discussing whether the weights are appropriate and how they interact with CAT aid. Testimony from Bonnie Dunham strongly opposed the bill. She argued that funding based on placement rather than actual service need would create incentives to move students into more restrictive settings, could stigmatize children with labels such as "Category C," and would undermine the least restrictive environment requirements under federal special education law. She described her son’s experience in inclusive settings as beneficial and said the bill would have penalized the district for serving him there. In response to questions, she said schools and parents should base funding on the child’s actual needs and costs, not on placement, and urged the committee to recommend the bill inexpedient to legislate.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (10/22/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
  • mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
  • mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
  • representative of the physician's office, licensed or certified psychologist or social worker as having disabling
  • mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
Keywords: 1189, house, all
CO

Colorado 2026 Regular Session

Colorado House 2026 Legislative Day 119 May 13th, 2026

Colorado House Floor Meeting

Transcript Highlights:
  • Department of Education cannot protect Colorado kids with disabilities, then the Colorado Department
  • Thank you, members, for coming back for this division vote.
  • >> Oh, we are going to a division now. >> Okay.
  • The committee will go into recess for a division. >> Yes. Oh, to the bill.
  • disabilities and, in connection therewith, making an appropriation.
Keywords: 981, all
CA

California 2025-2026 Regular Session

Senate Privacy, Digital Technologies, and Consumer Protection Committee Jun 22nd, 2026

Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:
  • California has never allowed industries to profit from children's developmental vulnerabilities without
  • It reflects the developmental stage at which adolescents generally demonstrate substantially stronger
  • That incentive directly conflicts with children's developmental interests.
  • That is there because they have developmental needs that are looking to be filled.
  • So the ghost of James Fontaine, the chief of the major narcotics division with the San Diego District
Keywords: 987, senate, all
LA

Louisiana 2026 Regular Session

House of Representatives Apr 16th, 2026

Louisiana House Floor Meeting

MN

Minnesota 2025 1st Special Session

House Higher Education Finance and Policy Committee 2/18/25

Higher Education Finance and Policy

Transcript Highlights:
  • disability.
  • disabilities.
  • with intellectual and developmental with intellectual and developmental disabilities<01:18:24.159
  • um this program is disabilities um this program is available<01:18:25.840> for<01:18:26.040><
  • or child care of a documented disability or child care and<01:29:53.199> it<01:29:53.360>
Keywords: 1183, house
HI
Transcript Highlights:
  • older adults or living with disabilities older adults or living with disabilities as<00:19:42.160
  • Hawaii Disability Rights Center providing comments." "Thank you.
  • Hawaii Disability Rights Center providing comments." "Thank you.
  • Hawaii Disability Rights Center support.
  • Next, we have our State Council on Developmental Disabilities in support. >> Yeah, we sent our testimony
Keywords: 912, senate, all
Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.
MN

Minnesota 2025-2026 Regular Session

House Capital Investment Committee 3/3/26

Capital Investment

Transcript Highlights:
  • Joel was a social worker at the time, and I worked in a day program for people with disabilities.
  • Joel was a social worker at the time, and I worked in a day program for people with disabilities.
  • Joel was a social worker at the time, and I worked in a day program for people with disabilities.
  • He has some developmental delays. He's also a very gifted artist, but his vaccines don't work.
  • He has some developmental of any child.
Keywords: 1183, house
Summary: The meeting was a PFAS-focused hearing of the Capital Investment Committee, with members informally discussing the scale of PFAS cleanup costs, possible Minnesota-made removal technology, and even committee birthday treats before the testimony began. No formal votes or motions were taken in the portion provided. The chair also noted the committee was waiting on a computer/cable issue before starting the presentation. The main testimony came from Sandy Wyn, co-chair of the Great Lakes PFAS Action Network, who described how PFAS contamination affected her Michigan community. She recounted that her private well tested at extremely high PFAS levels after a state visit, linked the contamination to Wolverine Worldwide’s historic dumping practices, and said the pollution spread through groundwater and municipal systems. She emphasized that PFAS are widespread in consumer products, firefighting foam, wastewater biosolids, and agriculture, and argued that the chemicals’ persistence makes them difficult to manage once released. Wyn said PFAS exposure is associated with health problems including cholesterol issues, liver and thyroid damage, kidney cancer, low birth weight, and reduced vaccine response in children. She told members she had her own blood tested, later developed thyroid cancer, and said a local child had very high PFAS levels and vaccine complications. Members asked for supporting studies, and she referenced the C8 study and other research. She urged stronger product restrictions, labeling, blood and water testing support, caution around biosolids, and continued efforts to reduce PFAS use, while acknowledging some limited uses may still be necessary in critical applications like military firefighting foam or medical devices.
FL

Florida 2026 4th Special Session

January 20, 2026 - 10:30 AM

Transcript Highlights:
  • House Bill 569, Forensic Client, APD, assists those with developmental disabilities who have been convicted
  • of a felony and court-ordered into the Department of Disability Services.
  • will the funds come from to help those SNAP beneficiaries who are seniors, children, people with disabilities